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Ne so (Part 4A consent certificate) (To be completed on behalf of the responsible hospital) I (PRINT full name and address) am the approved clinician in charge of the treatment of (PRINT full name and address of patient) who is subject to a community treatment order. I certify that this patient has the capacity/is competent to consent (delete the one that is not appropriate) and has consented to the following treatment. The treatment is: (Give description of treatment or plan of treatment.) S.

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